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Agency Inspection Report Fax <br /> (Please fax in ALL Agency Inspection Reports with or without corrective actions) <br /> DATE: 04/29/2014 Pages: <br /> (Including cover) <br /> TO: Permit Desk <br /> FAX (925) 8429585 or (925) 842-5660 <br /> FROM: Station # 30770912218 Stockton CA <br /> (Chevron Facility #) 1 (CS #) <br /> Phone Number: 209-952-2213 <br /> Print Manager Name: Rosella Biggs <br /> My facility received the attached (check appr priately below): <br /> ® NOV - Notice of 'Violation: A document issued by a Govern eni or Local Agency identifying a <br /> violation or condition that requires a corrective action by a specified da e and may require payment of a <br /> monetary fine or penalty. <br /> ® NTC - Notice to Comply: A document issued by a Governme t or Local Agency identifying a <br /> violation or condition of non-compliance that requires a corrective acti n by a specific date but does not le a <br /> monetary fine or penalty. <br /> 17 Other: 100% or Any Government or Local Agency document r communication (these include a <br /> successfully passed inspection) <br /> I have also notified my BC & RESH representati a via phone and/or fax. <br /> Name of BC: Diane Province <br /> Name of RESH Specialist: Gerardo Acuna <br /> Notes: <br /> In addition to faxing in the (legible) inspection report, please place a copy of the no ice <br /> into the Retail Facility Compliance Workbook under Section 9 "RFC Inspections". <br /> Updated 7.1 2011 <br />